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Individual
MR. MARK TAN CABAHUG
Active
Individual
MR. MARK TAN CABAHUG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
26NJ00506700
NJ
363LA2200X
Adult Health Nurse Practitioner
Primary
5015007
NC
Other
Enumeration date
05/19/2016
Last updated
10/26/2021
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